Read case 1 from book “****” page 1-32. In 3-5 pages address the questions below in section 1 and 2 in an APA format

I’m working on this. Can I get some help

Evidence-Based Practice Proposal – Section E: Implementation   PlanIn 1,250-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.All my papers for this class will be based on the below PICOT statement. This is one paper.PICOT Statement(P) – Population/ problem:There has been an increase case of death among Asian Americans due to cancer.(I) – Intervention: Reliable policy, procedure establishment and provision of necessary education to address the problem of cancer are important factors. The government should make sure there are credible institutions to train nursing professionals. The government should also make sure there are adequate public awareness classes given to ensure general population has adequate knowledge about the disease process.(C) – Americans born and raised in united states.(O) The above intervention will help to fight against cancer in early detection and curb its spread. Government organizations and non government organizations should work in collaboration with the public and the society to make sure the problem of cancer is addressed and public is educated about the early detection and treatment modalities.(T) – one yearRubricSetting and Access to Potential Subjects5.0A comprehensive description of setting and access to potential subjects is thoroughly developed with supporting details.Amount of Time Needed to Complete This Project5.0A comprehensive description of the amount of time needed to complete this project is thoroughly developed with supporting details.Resources or Changes Needed in the Implementation of the Solution10.0A comprehensive description of the resources or changes needed in the implementation of the solution is thoroughly developed with supporting details.Methods And Instruments10.0A comprehensive description of methods and instruments is thoroughly developed with supporting details.Process for Delivering the Intervention Solution10.0A comprehensive description of the process for delivering the intervention solution is thoroughly developed with supporting details.Data Collection, Including Data Management and Analysis Processes5.0A comprehensive description of data collection, including data management and analysis processes, is thoroughly developed with supporting details.Strategies to Deal With the Management of Any Barriers, Facilitators, and Challenges5.0A comprehensive description of strategies to deal with the management of any barriers, facilitators, and challenges is thoroughly developed with supporting details.Feasibility of the Implementation Plan5.0A comprehensive description the feasibility of the implementation plan is thoroughly developed with supporting details.Plans to Maintain, Extend, Revise, and Discontinue a Proposed Solution After Implementation10.0A comprehensive description of plans to maintain, extend, revise, and discontinue a proposed solution after implementation is thoroughly developed with supporting details.Required Sources5.0Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.Thesis Development and Purpose7.0Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction8.0Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Writer is clearly in command of standard, written, academic English.Paper Format (Use of appropriate style for the major and assignment)5.0All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

The goal of your Signature Assignment is to show that you can compute properties of solutions and analyze and interpret data.WHAT SHOULD I DO?You will create a PowerPoint presentation that shows the process of going through an acid/base titration like you would if you were in a physical lab.HOW MANY SLIDES?6HOW LONG DOES IT TAKE TO COMPLETE THE ASSIGNMENT?4 HOURS-5 HOURSWHAT SHOULD I INCLUDE ON SLIDE 1? (10 pts)USE CONTENTS OF PAGES 149-150 OF YOUR LAB MANUAL. DO NOT COPYWHAT SHOULD I INCLUDE ON SLIDE 2?  (20 pts)USE CONTENTS OF PAGES 151-152 OF YOUR LAB MANUAL. DO NOT COPYWHAT SHOULD I INCLUDE ON SLIDE 3?  (20 pts)USE CONTENTS OF PAGE 153 OF YOUR LAB MANUAL. DO NOT COPYWHAT SHOULD I INCLUDE ON SLIDE 4?  (20 pts)CREATE A COMPLETE DATA TABLE AS SHOWN ON PAGE 156INITIAL VOLUME 0.00 mLFinal volume 16.0 mLWHAT SHOULD I INCLUDE ON SLIDE 5?  (20 pts)A detailed calculations (shown on  pages153 and 156) of:Moles, molarity, mass/grams, percent(m/v)WHAT SHOULD I INCLUDE ON SLIDE 6?  (10 pts)CONCLUSION

QUESTION 11. A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching.PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn painFamily Hx-non contributarySocial history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.Breath test in the office revealed + urease.The healthcare provider suspects the client has peptic ulcer disease.1 of 2 Questions:What factors may have contributed to the development of PUD?1 pointsQUESTION 21. A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching.PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn painFamily Hx-non contributarySocial history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.Breath test in the office revealed + urease.The healthcare provider suspects the client has peptic ulcer disease.2 of 2 Questions:How do these factors contribute to the formation of peptic ulcers?1 pointsQUESTION 31. A 36-year-old morbidly obese female comes to the office with a chief complaint of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. She says she has started coughing at night which has been interfering with her sleep. She denies palpitations, shortness of breath, or nausea.PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2)Family history-non contributaryMedications-amlodipine 10 mg po qd, dicyclomine 20 mg po, ibuprofen 600 mg po q 6 hr prnSocial hx- 15 pack/year history of smoking, occasional alcohol use, denies vapingThe health care provider diagnoses the patient with gastroesophageal reflux disease (GERD).Question:The client asks the APRN what causes GERD. What is the APRN’s best response?QUESTION 41. A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.Question:What factors can contribute to an upper GI bleed?1 pointsQUESTION 51. A 64-year-old steel worker presents to his Primary Care Provider (PCP) with a chief complaint of passing bright red blood when he had a bowel movement that morning. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some left lower quadrant pain for several weeks but described it as “coming and going”. He says he has had a fever and abdominal cramps that have worsened this morning. The likely diagnosis is lower GI bleed secondary to diverticulitis.Question:What can cause diverticulitis in the lower GI tract?1 pointsQUESTION 61. A 48-year-old man presents to his gastroenterologist for increasing abdominal girth and increasing jaundice. He has a long history of alcoholic cirrhosis and has multiple admissions for encephalopathy and GI bleeding from esophageal varices. He has been diagnosed with portal hypertension and tells the APRN that he was told he had chronic, non-curable cirrhosis.Question:How does cirrhosis cause portal hypertension?1 pointsQUESTION 71. A 48-year-old man presents to his gastroenterologist for increasing abdominal girth and increasing jaundice. He has a long history of alcoholic cirrhosis and has multiple admissions for encephalopathy and GI bleeding from esophageal varices. He has been diagnosed with portal hypertension. The increased abdominal girth has been progressive, and he says it is getting hard to breathe. The APRN reviews his last laboratory data and notes that the total protein is 4.6 gm/dl and the albumin is 2.9 g/dl. Upon exam, he has icteric sclera, jaundice, and abdominal spider angiomas. There is a significant fluid wave when percussed. The APRN tells the patient that he has ascites.Question:Discuss how ascites develops as a result of portal hypertension.UESTION 81. A 45-year-old man with known alcoholic cirrhosis, portal hypertension, and ascites is brought to the ED by his family due to increasing confusion. The family states that he had been stumbling for several days but had not fallen. The family also noted that he had been “flapping his hands” as well. Labs in the ED reveal Hgb 9.4 g/dl, Hct 28.0 %, ammonia (NH3) level is 159 μmol/L. The APRN informs the family that the patient has developed hepatic encephalopathy (HE).Question:Explain how hepatic encephalopathy develops in patients with cirrhosis of the liver.1 pointsQUESTION 91. A 65-year-old man with a history of atrial fibrillation presents to his PCP’s office 2 months after suffering from a myocardial infarction.  He declined anticoagulation due to fear he would bleed to death. He has had sudden-onset, moderately severe diffuse abdominal pain that began 18 hours ago. He has been vomiting, and he has had several episodes of diarrhea, the last of which was bloody. He has a fever of 100.9 ˚ F. CBC reveals WBC of 15,000/mm3.Question:What is the most likely mechanism behind his current symptoms?1 pointsQUESTION 101. A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl.  Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment.Question 1 of 2:Describe how gallstones are formed and why they caused the symptoms that the patient presented with.1 pointsQUESTION 111. A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl.  Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment.Question 2 of 2:Explain how the patient became jaundiced.1 pointsQUESTION 121. Ruth is a 49-year-old office worker who presents to the clinic with a chief complaint of abdominal pain x 2 days. The pain has significantly increased over the past 6 hours and is now accompanied by nausea and vomiting. The pain is described as “sharp and boring” in mid epigastrum and radiates to the back. Ruth admits to a long history of alcohol use, and often drinks up to a fifth of vodka every day.Physical Exam:Temp 102.2F, BP 90/60, respirations 22. Pulse Oximetry 92% on room air.General: thin, pale white female in obvious pain and leaning forward. Moving around on exam table and unable to sit quietly.CV-tachycardic. RRR without gallops, rubs, clicks or murmursResp-decreased breath sounds in both bases with poor inspiratory effortAbd- epigastric guarding with tenderness. No rebound tenderness. Negative Cullen’s and + Turner’s signs observed.  Hypoactive bowel sounds x 2 upper quadrants, and no bowel sounds heard in both lower quadrants.The APRN makes a tentative diagnosis of acute pancreatitis based on history and physical exam and has the patient transferred to the ER where laboratory and radiographic exams reveal acute pancreatitis.Question:Explain how pancreatitis develops and the role alcohol played in this patient’s case.1 pointsQUESTION 131. A 23-year-old bisexual man with a history of intravenous drug abuse presents to the clinic with a chief complaint of fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, and dark urine. He says the symptoms started about a month ago and have gotten steadily worse. He admits to reusing needles and had unprotected sexual relations with a man “a couple months ago”.PMH-noncontributory.Social/family history-works occasionally as a night clerk in a hotel. Parents without illnesses. Admits to bisexual sexual relations and intravenous heroin use. He has refused drug rehabilitation. 3 year/pack history of tobacco but denies vaping.Physical exam unremarkable except for palpable liver edge 2 fingerbreadths below costal margin. No ascites or jaundice appreciated.The APRN suspects the patient has Hepatitis B given the strong history of risk factors. She orders a hepatitis panel which was positive for acute Hepatitis B.Question:What are the important hepatitis markers that indicated the patient had acute hepatitis B?1 pointsQUESTION 141. Hannah is a 19-year-old college sophomore who came to Student Health with a chief complaint of lower abdominal pain. She says the pain has been present for 2 months and she has had multiple episodes of diarrhea alternating with constipation, and anorexia. She says she has lost about 10 pounds in these 2 months without dieting. The abdominal pain has gotten worse in the last 2 hours, but she thought she had “the GI bug” like other students at her Synagogue had.Physical exam-noncontributory except for the abdomen which was lightly distended with no visible masses. Normoactive BS x 4. Diffuse tenderness throughout but increased pain on deep palpation LUQ & LLQ. Slight guarding but no rebound tenderness or rigidity.Rectal-tight anal sphincter and patient grimacing in pain during exam. Slightly + guaiac stool.Based on her history and current symptoms, the APN arranges for a consult with a gastroenterologist who diagnoses Hannah with ulcerative colitis (UC).Question:How does ulcerative colitis develop in a susceptible person?1 pointsQUESTION 151. A 64-year-old woman with long standing coronary artery disease presents to the clinic with lower extremity swelling, abdominal distension, and shortness of breath. Patient states she has a 30-pound weight gain in 6 weeks and is now requiring 3 pillows to sleep.On physical exam the patient is a well-developed, well-nourished female exhibiting signs of respiratory distress with use of accessory muscles. Blood pressure 150/80, pulse 105, respirations 28 and labored. Body weight 89 kg. HEENT was unremarkable. Cardiac exam had an S1, S2 and S3 without S4 or murmur. Respiratory exam was positive for bilateral rales 1/2 up both lung fields. Abdomen was enlarged with a positive fluid wave. Lower extremities were remarkable for 3+ pitting edema.Laboratory data was significant for an increase in K+ from 3.4 mmol/l to 6.1 mmol/l in 2 weeks, BUN increased from 18 mg/dl to 104 mg/dl, and creatinine increased from 0.8 mg/dl to 6.9 mg/dl.CXR revealed congestive heart failure. The APRN calls the cardiologist on call who admits the patient to the hospital and orders a nephrology consult.She was diagnosed with exacerbation of congestive heart failure (CHF) and acute kidney injury (AKI).Question:What type of acute kidney injury does the patient have and what factors contributed to this diagnosis?1 pointsQUESTION 161. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate.Question:What would be the most important concept of glomerular filtration rate that the APRN should address?1 pointsQUESTION 171. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flowQuestion:What would be the most important concept of autoregulation that the APRN should address?1 pointsQUESTION 181. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flowQuestion:What would be the most important concept of hormonal regulation that the APRN should address?1 pointsQUESTION 191. A 28-year-old female comes to the clinic with a chief complaint of right flank pain, urinary frequency, and foul-smelling urine. The symptoms have been present for 3 days but this morning, the patient states she had a fever of 101 F and thought she should get it checked out. Physical exam noncontributory with the exception of right costovertebral angle (CVA) tenderness upon percussion. Urine dipstick shows + blood, + bacteria and + white blood cells. Renal ultrasound reveals right staghorn renal calculus and the patient was diagnosed with acute pyelonephritis.Question:How does a renal calculi calculus contribute to acute pyelonephritis?1 pointsQUESTION 201. Mr. Kent is a 45-year-old African American male with a history of Type 2 diabetes, hypertension, and hyperlipidemia. His renal function has slowly decreased over the past 4 years and his nephrologist has told him that his GFR has decreased to 15cc ml/min and will soon need renal dialysis for chronic renal failure.Question:How does chronic renal failure develop?1 points